| NPI | 1952698086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09840700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249165) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-11-29 |